MARY TIBBE MSN RN CCRN-K AGCNS
NPI 1699328393
Clinical Nurse Specialist - Gerontology in Grand Rapids, MI
About Mary Tibbe Msn Rn Ccrn-k Agcns NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY TIBBE MSN RN CCRN-K AGCNS (NPI 1699328393) is an individual gerontology provider in Grand Rapids, Michigan, licensed in Michigan (4704270663) and active in the NPI registry since July 2019.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GRAND RAPIDS, MI 49503
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mary Tibbe's NPI number?
The NPI number for Mary Tibbe is 1699328393. It was assigned to this individual provider in the NPPES registry on July 22, 2019.
Where is Mary Tibbe located?
Mary Tibbe practices at 100 Michigan St NE, Grand Rapids, MI 49503. The listed phone number is (616) 520-1135.
What is Mary Tibbe's specialty?
The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Gerontology, with taxonomy code 364SG0600X.
When was this NPI record last updated?
The NPPES record for Mary Tibbe was last updated on July 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mary Tibbe, MSN RN CCRN-K AGCNS · NPI 1699328393
Gerontology physician in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since July 22, 2019.
## Identity
- **NPI:** 1699328393 (Entity type: Individual)
- **Enumerated:** July 22, 2019
- **Primary specialty:** Clinical Nurse Specialist - Gerontology · taxonomy 364SG0600X
- **State license:** 4704270663 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 MICHIGAN ST NE, Grand Rapids, MI 49503-2560
- **Phone:** (616) 520-1135
## Record status
- **NPPES last updated:** July 22, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1699328393) · Data from the CMS NPPES public registry.